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The United States of America
Vietnam War Commemoration
for Virginia Beach Vietnam Veterans
Please tell us your interest in attending a 
Virginia Beach Commemoration Event in the Fall of 2017

  Fields that must be filled in
To
"Event Coordinator" <vn50thsurv@cox.net>
Subject:
From:
 * 
 Your Last Name     Your First Name and Initial
Email:

     Example:johndoe@cox.net 
    (For this event use only. Will not be dispersed, sold or marketed)
Re-Enter 
Email:
 
Did you serve on active duty in the U. S. Armed Forces  at any time 
during the period of November 1, 1955 to May 15, 1975, regardless 
of location?
  If Yes, you are a Vietnam War Veteran
Service: *
Last Rank:
Would you
attend? *
Number of 
attendees:
 
Certificates of Honor are available for the following: *

1  - 06/30/2017